Provider Demographics
NPI:1528014586
Name:DEARAUJO, LUIZ C (MD)
Entity Type:Individual
Prefix:
First Name:LUIZ
Middle Name:C
Last Name:DEARAUJO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:116 HOSPITAL DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2819
Mailing Address - Country:US
Mailing Address - Phone:337-269-6004
Mailing Address - Fax:337-261-9003
Practice Address - Street 1:116 HOSPITAL DR
Practice Address - Street 2:SUITE A
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2819
Practice Address - Country:US
Practice Address - Phone:337-269-6004
Practice Address - Fax:337-261-9003
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA06212R207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1335517Medicaid
LA5L448Medicare ID - Type Unspecified
LA1335517Medicaid